Episodes
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My Differential Diagnosis professor from graduate school at Hazelden Betty Ford Graduate School of Addiction Studies joins us for an exploration of addictive behaviors from sexual related to meth, and how mental disorders can change or fade in the long term as we age out of the energy it takes to maintain them. Caffeine addiction, and your host's personal struggle with maintaining abstinence from caffeine is discussed for the first time. How does caffeine use in our children contribute to mental health diagnoses and possible lifelong medication implications.
Background art by Robyn Anderson Watercolors
Music by Carly Thomas
Photography by Jennifer Mao Jones
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Judy Squires worked as an addictions counselor at Minnesota Corrections - Fairbault prison and Shakopee women's prison. She brought a passionate energy to her career for nearly 2 decades in her mission to set offenders free of the prison of their minds behind bars. Her experience as a mother who struggled with alcohol use which spiraled into losing her children makes for a great story of redemption and restoration to dignity. She chose to take that experience and transform her life into inspiration, creating a fulfilling career bringing dynamic healing and hope to those who need it most. Her wisdom and powerful treatment curriculum of personal growth through inner child love are infectious in the two hours we spend reflecting in this episode.
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Missing episodes?
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Episode 2 - James Longhenry - Marketing exec with Beauterre Recovery Institute and Meridian Behavioral Health
James paints a picture of every small town in America. The unfulfilled American Dream. A sinking feeling that the underlying disappointment with our lives is a toxic shame is rooted in the force-fed delusion of the American Dream. Are we self-medicating the side-effects of our shame that we’ve drifted away from instructions that are impossible to follow? Just take a look at the dream we’re sleep walking through.
Milwaukee County will spend $11 million in all on projects to reduce drug overdosing. That includes the purchase of 25 vending machines that provide free nasal Narcan, fentanyl test strips and more. It's all part of the effort to beat back a rising number of overdose deaths in the country. The Centers for Disease Control and Prevention says there were more than 80,000 opioid-related deaths in the U.S. in 2021. In Wisconsin, there were more than 1,400 that year. At the police station in Greenfield, over 180 boxes of Narcan and more than 1,000 fentanyl test strips have been dispensed so far.
Milwaukee public health officials had an idea for reducing deaths by drug overdoses. They bought vending machines and then stocked them with life-saving supplies — such as Narcan.
Our entire communities revolve around intoxicant use. When is the last time you’ve interacted with another human being without being under the influence of caffeine, tobacco, alcohol, cannabis, or other anxiety Band-Aids? We, in recovery from all intoxicants, live in refuge from the borader community who continue to grasp for an escape from reality.
#recoveryispossible #beauterre #meridianbehavioralhealth #addiction #wisconsin #
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Background cover painting by Robyn Anderson Watercolors
Background Music by CarlyThomas.com
Photography by Jennifer Mao JonesNoah Latzer works as a recovery support specialist at the Minnesota Recovery Connection, working individually with clients, helping run groups with Virtual Addiction Care at Allina Health and running inclusive, weekly ALL recovery meetings – and he’ll tell you more about what that means later in this episode.
I first heard Noah speak at an education event at Hastings High School – it was called One Pill Can Kill organized by United Way of Hastings. He was on a panel discussing the ways drugs get into schools and how we might prevent addiction and fentanyl overdose by educating kids about how it is being pressed into pills in lethal doses. Noah has a daunting story. Drug dealers in school are humans with pain and fear that they’re trying to escape from. There’s a lot more going on in that persons life. I wonder what would happen if we approached these kinds of people with compassion and curiosity about their pain?
I work at a small hospital in a small town on the border of Minnesota and Wisconsin – on a bluff where horses graze overlooking the Mississippi river. as an addiction assessor in an inpatient mental health unit, emergency department and medical units. I see a sample of the firing lines of addiction related circumstances that bring people into the hospital. It was interesting to have the opportunity from United Way to go out into the community and discover how these new potent drugs were harming the families of this town in the school system. I usually work with people after the drugs and alcohol have done their damage – and sometimes in the hospital it’s too late to treat their addiction – so it was a new perspective to think about the problem of addiction from a prevention standpoint. Looking over some old local news articles, I noticed that Hastings has had a long history of opioid overdoses – higher per capita than the surrounding areas – and the town has been trying to figure out what to do about it for decades. What could the solution be? What is really going on in our communities? Let’s take a broader look around at the data from the state as a whole:
Aaccording to the MN dept of health - Opioid-involved overdose deaths among Minnesotans increased 43% from 2020 to 2021, and the number of deaths has more than doubled since 2019.
Nonfatal emergency department (ED) visits for opioid-involved overdose continued to increase from 2020 to 2021. This increase was driven by nonfatal overdoses involving opioids other than heroin, whereas nonfatal overdoses involving heroin decreased.
Use and Misuse Among Youth
Among Minnesota students surveyed, the percentage of 8th and 9th graders who reported inappropriate use of pain medications (e.g., OxyContin, Percocet, Vicodin) in the past 12 months has continued to increase. Inappropriate use among 11th graders remained steady from 2019 to 2022.
In 2021 there was a bump in admissions to treatment for opioid use disorder.
The number of patients who have completed their treatment at the time of their discharge has been decreasing.
In 2021, seven out of ten patients had not completed their Opioid Use Disorder (OUD) treatment at the time of discharge.
Understanding the central nervous system’s response to pain: A patient’s pain sensitivity increases with long-term opioid use; the central nervous system’s alarm system is no longer sending accurate signals. Part of recovery from long-term opioid use includes addressing the central nervous system’s response and teaching the body that life can be safe again. Health systems that are skilled in trauma-informed practices are beginning to explore holistic healing from long-term chronic pain and/or long-term opioid use.
Looking at this problem from all angles, I want to explore if my initial opinion that total abstinence – preventing drug experimentation among young people through education and changing the social culture of inevitability – which is accepting the inevitable that all young people will go through a right of passage of exposing themselves to addictive substances for fun – is the only way to solve this problem.
Can we do better?
Can we take a look around at the bigger picture of what’s causing these fentanyl overdoses, and cultural drift towards ever more potent psychoactive substance addictions?
What is going on in our families? In our daily life interactions? Our cultural routines of socializing and propelling ourselves towards joy by hijacking the natural pleasure system in the brain? Anything that changes the chemistry of the brain seems to make us feel less – not more. It mutes our authentic ability to feel the entire real experience, while diverting us to a dimmed down, distracted pathway through the experience.
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Post any topic requests or follow up questions in the comments.
I know what it’s like to be in the quicksand, the hell, the tolerance trap of addiction. I’ve depended on everything from a liter and a half of vodka per day to half a pill of a tiny dose of a benzodiazepine to get be through the day – and I feared for my life if I did not get this drug into my body every single day. I want to report from where I am today that it is so much better to be free – to think with the clarity of a natural mind free of chemicals - and to feel all the subtle pleasures of life fully. I challenge you to set yourself free. We fall for a lot of addictive traps, both set by us and by nature – especially the caffeine sleep deprivation trap, which I’ll discuss in an episode coming soon. I believe we can be more ambitious as a species. Freedom is the best trip you’ll ever have.
I am Justin the addiction guy, and I created this podcast. Music by Carly Thomas – check out carlythomas.com, Cover photography by Jennifer Mao Jones, Writing, Studio Sound mixing and editing by me. Thank you to the people who have encouraged me to create this, and inspired connections and community engagement, including Bridgette Noring of the Devin J. Noring Foundation, Mari Mellik and Jane Neumiller-Bustad… at United Way of Hastings and Helping Kids Succeed. Thank you for introducing me to my first guest and continuing to strive to make the community of Hastings, MN stronger through educational events about fentanyl overdose among young people. What is the solution? If you have any ideas on how we can do better as a society, please contact the podcast at our website, www.justinthomascollection.com/podcast.html
#substanceusedisorder #addiction #fentanyloverdose #opioidoverdoseawareness #opioids #onepillcankill #minnesotarecovery #recoveryispossible
